Smith, Edwin A

Smith, Edwin A is an individual health care provider with primary practice located at 5445 Meridian Marks Rd Ne Suite 420, Atlanta GA 30342-4763. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatric Urology, Allopathic & Osteopathic Physicians / Urology. Allopathic & Osteopathic Physicians / Pediatric Urology is his primary health care specialty. Smith, Edwin A can be contacted via phone (404) 252-5206.

Contact Information

Primary practice address
5445 Meridian Marks Rd Ne Suite 420 Atlanta GA 30342-4763
Phone: (404) 252-5206
Fax: (404) 252-1268
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Urology 2088P0231X 034246 Georgia
Allopathic & Osteopathic Physicians / Urology 208800000X 034246 Georgia

Profile Details

NPI number 1003828179
LBN Legal business name Smith, Edwin A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 13th, 2006
Last updated Mar 7th, 2023 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1003828179 NPPES
South Carolina MEDICAID Q34246
South Carolina MEDICAID 000694999B
South Carolina Other 340014353

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